Medicare Enrolled
Dr. Gary Leach, MD
Urology Physician · Los Angeles, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Leach from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Leach?
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What this data tells you about Dr. Leach
Dr. Gary Leach is an urology physician in Los Angeles, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Leach performed 42,939 Medicare services across 6,009 unique beneficiaries.
Between the years covered by Open Payments, Dr. Leach received a total of $146,719 from 48 pharmaceutical and/or device companies across 632 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Leach is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 5% volume in CA
$146,719 industry payments
Medicare Practice Summary
Medicare Utilization ↗42,939
Medicare services
Top 5% in CA for urology physician
6,009
Unique beneficiaries
$13
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~2,260 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Testosterone injection An injection of testosterone cypionate, a form of testosterone hormone. The dose is measured in milligrams. |
21,502 | $0 | $0 |
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
8,500 | $5 | $15 |
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
1,600 | $0 | $3 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,451 | $72 | $261 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
1,133 | $4 | $35 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
1,133 | $5 | $30 |
| Infectious disease DNA/RNA test A laboratory test that uses a specific technique to detect the genetic material of an organism. This method amplifies the target DNA or RNA to identify the presence of the organism. |
884 | $34 | $100 |
| Limited ultrasound of pelvis A focused ultrasound exam of the pelvic area to evaluate specific structures. This procedure provides images of the pelvis to assist in medical assessment. |
739 | $40 | $424 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
464 | $12 | $49 |
| Injection, tobramycin sulfate, up to 80 mg | 316 | $2 | $28 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
310 | $8 | $36 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
270 | $47 | $225 |
| Lower leg neurostimulator electrode insertion A procedure to place an electrode in the lower leg for neurostimulation therapy. |
269 | $104 | $500 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
269 | $48 | $301 |
| Electronic analysis of implanted neurostimulator This procedure involves electronically analyzing an implanted neurostimulator generator and performing simple programming for spinal cord or peripheral nerve stimulation. |
269 | $40 | $200 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
268 | $8 | $30 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
243 | $8 | $20 |
| Complete pelvic ultrasound An imaging test using sound waves to create pictures of the organs and structures within the pelvis. |
240 | $92 | $425 |
| PSA test (prostate cancer screening) | 210 | $18 | $70 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
201 | $25 | $95 |
| Antimicrobial drug evaluation Assessment of the patient's response to antibiotic, antifungal, or antiviral therapy. |
189 | $7 | $26 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
160 | $94 | $425 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
154 | $8 | $200 |
| Kidney function blood test panel | 119 | $9 | $50 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
111 | $126 | $481 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
105 | $0 | $13 |
| Complicated insertion of bladder tube | 104 | $89 | $277 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
102 | $105 | $392 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
78 | $51 | $225 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
76 | $210 | $500 |
| Complex urodynamic pressure measurement A test that measures the pressure of urine flow in the bladder along with urethral and voiding pressures. |
75 | $349 | $699 |
| Abdominal device insertion with pressure and urine flow study A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate. |
75 | $178 | $400 |
| Yeast/candida DNA test A laboratory test that uses an amplified probe technique to detect the presence of Candida species, a type of yeast, in a patient sample. |
68 | $34 | $100 |
| Chlamydia trachomatis nucleic acid amplification test A laboratory test that uses nucleic acid amplification to detect the presence of Chlamydia trachomatis bacteria in a sample. |
68 | $34 | $100 |
| Gonorrhea nucleic acid amplification test A laboratory test that uses amplified probe techniques to detect the genetic material of gonorrhea bacteria. This method identifies the presence of the infection by analyzing nucleic acids from the sample. |
68 | $34 | $100 |
| Staphylococcus aureus DNA test A laboratory test that uses DNA amplification to detect the presence of Staphylococcus aureus bacteria in a sample. |
68 | $34 | $100 |
| Group B Strep DNA test A laboratory test that uses DNA amplification to detect the presence of Group B Streptococcus bacteria. |
68 | $34 | $100 |
| Trichomonas vaginalis nucleic acid test A laboratory test that uses an amplified probe technique to detect the genetic material of the Trichomonas vaginalis parasite. This method identifies the presence of the organism responsible for trichomoniasis. |
68 | $34 | $100 |
| Mycoplasma genitalium DNA/RNA test A laboratory test that uses DNA or RNA probes to detect the presence of Mycoplasma genitalium bacteria in a sample. |
67 | $34 | $100 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
65 | $19 | $100 |
| Immunologic organism identification test A laboratory test that uses immunologic methods to identify specific organisms in a sample, excluding immunofluorescence techniques. |
55 | $5 | $15 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
53 | $18 | $90 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
49 | $8 | $25 |
| Cystoscopy with chemical ablation of bladder A procedure where a camera is used to examine the bladder and a chemical agent is applied to destroy abnormal tissue. |
38 | $344 | $1,500 |
| VRE nucleic acid detection test A laboratory test that uses amplified probe techniques to detect vancomycin-resistant Enterococcus (VRE) DNA in a patient sample. |
38 | $34 | $100 |
| MRSA nucleic acid detection test A laboratory test that uses amplified probe techniques to detect the genetic material of methicillin-resistant Staphylococcus aureus (MRSA) bacteria. |
38 | $34 | $100 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
38 | $45 | $198 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
35 | $124 | $300 |
| Sex hormone binding globulin level test A blood test that measures the level of sex hormone binding globulin, a protein that binds to sex hormones in the bloodstream. |
35 | $21 | $95 |
| Urethral dilation using endoscope A procedure to widen the urethra using a thin, lighted tube called an endoscope. This helps to open a narrowed urethral passage. |
34 | $270 | $1,200 |
| Insertion of peripheral or gastric neurostimulator generator A surgical procedure to implant the pulse generator device for a neurostimulator system. The generator is placed under the skin to deliver electrical impulses to nerves or the stomach. |
33 | $100 | $1,000 |
| Sacral nerve stimulator electrode insertion A procedure to place an electrode array in the sacral area to deliver electrical stimulation to the nerves. |
30 | $1,005 | $3,000 |
| Total estradiol level test A blood test that measures the total amount of estradiol, a form of estrogen, in the body. |
30 | $27 | $90 |
| Simple insertion of temporary bladder tube A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder. |
27 | $55 | $200 |
| Luteinizing hormone level test A blood test that measures the level of luteinizing hormone, a reproductive hormone. This test helps evaluate hormonal balance and reproductive function. |
23 | $18 | $51 |
| Follicle stimulating hormone (FSH) level A blood test to measure the level of follicle stimulating hormone, a reproductive hormone. |
22 | $18 | $70 |
| Prolactin level test A blood test that measures the amount of prolactin, a hormone produced by the pituitary gland that stimulates milk production, in the body. |
22 | $19 | $70 |
| Sacral nerve stimulator electrode insertion A procedure to place an electrode in the sacral area for nerve stimulation therapy. |
20 | $533 | $2,975 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
16 | $28 | $600 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
16 | $235 | $1,481 |
| Liver function blood test panel | 16 | $8 | $30 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
15 | $214 | $1,000 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
15 | $87 | $1,200 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
15 | $52 | $425 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
15 | $10 | $50 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
15 | $46 | $250 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
14 | $154 | $425 |
| Prostate needle biopsy pathology exam Laboratory examination of prostate tissue samples obtained via needle biopsy. The pathologist inspects the tissue both visually and under a microscope to identify any abnormalities. |
12 | $171 | $2,500 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
11 | $97 | $314 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.1% high complexity
79.2% medium
20.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$146,719
Total received (2018-2024)
Avg $20,960/year across 7 years
Top 3% in CA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
48
Companies
632
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$138,764 (94.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,955 (5.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$12,187
2023
$19,381
2022
$26,087
2021
$22,458
2020
$27,967
2019
$18,362
2018
$20,279
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$10,484
ABBVIE INC.
$380
Becton, Dickinson and Company
$334
Dendreon Pharmaceuticals LLC
$324
Axonics, Inc.
$144
COLOPLAST CORP
$106
PFIZER INC.
$71
C. R. Bard, Inc. & Subsidiaries
$53
Sumitomo Pharma America, Inc.
$53
Teleflex LLC
$51
Laborie Medical Technologies Corp.
$43
180 Medical, Inc.
$28
Merck Sharp & Dohme LLC
$21
Ferring Pharmaceuticals Inc.
$21
PROGENICS PHARMACEUTICALS, INC.
$19
Telix Pharmaceuticals
$18
Hollister Incorporated
$17
ABC Home Medical Supply, Inc.
$17
Top 3 companies account for 91.9% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$73,984
Medtronic USA, Inc.
$46,926
Astellas Pharma US Inc
$14,193
Coloplast Corp
$3,881
ABBVIE INC.
$1,177
Boston Scientific Corporation
$717
Teleflex LLC
$463
UroGen Pharma, Inc.
$366
Myovant Sciences Inc.
$365
Dendreon Pharmaceuticals LLC
$358
Axonics, Inc.
$350
COLOPLAST CORP
$340
Becton, Dickinson and Company
$334
Janssen Biotech, Inc.
$319
AbbVie, Inc.
$292
Allergan Inc.
$268
PFIZER INC.
$247
Allergan, Inc.
$187
Rochester Medical Corporation
$170
BOSTON SCIENTIFIC CORPORATION
$163
C. R. Bard, Inc. & Subsidiaries
$129
Bayer HealthCare Pharmaceuticals Inc.
$127
Augmenix, Inc.
$112
Sumitomo Pharma America, Inc.
$104
Ferring Pharmaceuticals Inc.
$103
AbbVie Inc.
$93
UROVANT SCIENCES INC
$92
Amgen Inc.
$91
Profound Medical Corp.
$88
MEDIVATION FIELD SOLUTIONS LLC
$80
NeoTract Inc.
$66
Avadel Specialty Pharmaceuticals, LLC
$51
Astellas Pharma Global Development
$44
Laborie Medical Technologies Corp.
$43
Blue Earth Diagnostics Limited
$43
Contura, Inc.
$42
Merck Sharp & Dohme LLC
$41
DENTSPLY IH Inc.
$37
Myriad Genetic Laboratories, Inc.
$32
ABC Home Medical Supply, Inc.
$30
Hollister Incorporated
$29
180 Medical, Inc.
$28
Ethicon US, LLC
$26
Verity Pharmaceuticals Inc.
$19
PROGENICS PHARMACEUTICALS, INC.
$19
Telix Pharmaceuticals
$18
AstraZeneca Pharmaceuticals LP
$16
Antares Pharma, Inc.
$16
Top 3 companies account for 92.1% of all-time payments
Associated products mentioned in payments ›
ADSTILADRIN · ALTIS · AMS · AMS 700 CXR RTE KIT · Altis · Axonics · Axumin · BOTOX · BOTOX - UROLOGY · BOTOX THERAPEUTIC · BRACAnalysis CDx · Bard Urinary Drainage Bag · Bulkamid · CLENPIQ · CONTINENCE CARE · CREON · ERLEADA · Erleada · FIRMAGON · GEMTESA · GREENLIGHT · ILLUCCIX · INTERSTIM · INTERSTIM ICON · JELMYTO · KEYTRUDA · LUPRON DEPOT · LYNPARZA · LoFric · Luja Coude · Lupron · Lupron Depot · MYRBETRIQ · Myrbetriq · NOCDURNA · Noctiva · Nubeqa · ONLI · ORGOVYX · Optilume BPH Drug Coated Balloon Catheter · POSLUMA · PROLARIS · PROVENGE · PYLARIFY · Porges Coloplast · Prolia · SOLESTA · SPEEDICATH · STRATAFIX · Saffron · SpaceOAR · SpeediCath · Titan · Trelstar · Tulsa-Pro · UROLIFT · UroLift · UroLift System · VESICARE · VaPro · XTANDI · XYOSTED · Xtandi
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (95%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in urology physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for urology physician in CA.
Geographic Context
Urology physicians within 10 mi
385
Per 100K population
3.9
County median income
$87,760
Nearest hospital
CEDARS-SINAI MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Leach is a mixed practice specialist, with above-average Medicare volume (top 5% in CA), with speaking/promotional industry engagement in the top 3% of CA peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Leach experienced with testosterone injection?
Based on Medicare claims data, Dr. Leach performed 21,502 testosterone injection services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Leach receive payments from pharmaceutical companies?
Yes. Dr. Leach received a total of $146,719 from 48 companies across 632 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Leach's costs compare to other urology physicians in Los Angeles?
Dr. Leach's average Medicare payment per service is $13. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Leach) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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